General Thoracic and Cardiovascular Surgery

, Volume 61, Issue 8, pp 463–465 | Cite as

Valve replacement via upper partial sternotomy for quadricuspid aortic valve

  • Yukiharu SugimuraEmail author
  • Masanori Katoh
  • Takashi Murakami
  • Yuji Kato
  • Masaaki Toyama
Case Report


A 52-year-old man was referred to our clinic because of chronic heart failure. A Levine 3/6 diastolic heart murmur was audible at the apex. Chest radiography showed an enlarged left ventricle. Transthoracic echocardiography showed moderately severe aortic regurgitation. Left ventricular end-diastolic/systolic diameter and ejection fraction were 75/59 mm and 41 %, respectively. Preoperative transesophageal 3-dimensional echocardiography revealed a quadricuspid aortic valve whose cusps were of almost equal size. Aortic valve replacement was performed via upper partial sternotomy.


Quadricuspid aortic valve Upper partial sternotomy Valve replacement 


Conflict of Interest



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Copyright information

© The Japanese Association for Thoracic Surgery 2012

Authors and Affiliations

  • Yukiharu Sugimura
    • 1
    Email author
  • Masanori Katoh
    • 1
  • Takashi Murakami
    • 2
  • Yuji Kato
    • 2
  • Masaaki Toyama
    • 2
  1. 1.Department of Cardiovascular SurgeryFuji Heavy Industries Health Insurance Society Ota Memorial HospitalOtaJapan
  2. 2.Department of Cardiovascular SurgeryKameda Medical CenterKamogawaJapan

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